Shared Situational Awareness within the Hospital Emergency Context: A Scoping Review

Abstract

Background. Shared Situation Awareness (SSA) has been applied in many fields such as sport, the military and aviation with promising outcomes on team performance. The application of SSA within the hospital emergency healthcare context has not been explored yet. The aim of this scoping review is to explore and map literature related to shared situational awareness within the hospital emergency healthcare context. Methods. The Arksey and O’Malley (2005) framework was used in which three electronic databases were searched for evidence investigating SSA within a hospital emergency healthcare context. Results. A review of the literature showed a clear lack of evidence that directly investigates SSA within the context of hospital emergency care. In the emergency medical field, the term SSA is seldom used and ‘team situation awareness’ is the most frequently used term. The most common framework was the three-level framework. Two techniques were reported in the selected studies to investigate SSA (1) freeze probe technique and (2) observer-based rating technique. The freeze probe technique mandates a simulation or artificial environment, while the observer-based rating technique could be applied in an ecological as well as an artificial environment. There is no standardized technique to calculate the score of the SSA. Finally, there was a significant impact of SSA on clinical team performance as well as some related skills such as leadership, task management, mindfulness and task prioritization. Conclusions. Reviewing the literature revealed a lack of studies investigating the use of SSA within the context of hospital emergency care. There is also a lack of agreement on how a SSA score should be calculated. Further studies are required to overcome these issues.

Development and validation of instrument for assessment of situational awareness in operational management of nursing leaders in hospital settings

“…Participants reported quite good scores of situational awareness overall. However, there is still room for improvement, as results indicate deficiencies in a comprehensive situational awareness (covering all dimensions) crucial to operational management [11,24]. Further, the frequency of managerial activities related to human resources were aligned with the reported situational awareness, where situational awareness on human resources (D2) scored highest.…”

“…Although recent work is done to improve shared situational awareness [25], more research is still clearly needed in this area [24]. When looking at specific actions reported by the respondents, further exploration is needed to evaluate the appropriateness of information systems and processes to support communication in operational management for shared situational awareness.…”

Using situational awareness and case-based seminars in a comprehensive nursing skills practice course to improve self-directed learning, academic self-efficacy, and professional identity in undergraduate nursing students

“…The scale is composed of ve dimensions, with 17 items in total. Six items for checking for professional self-concept (1,6,9,11,16,17), four items for bene t of retention and risk of turnover (5,8,10,14), three items for social comparison and selfre ection (7,13,15), two items for independence of career choice (4,12), and two items for social persuasion (2,3). A ve-point Likert scale (1 = strongly disagree; 2 = disagree; 3 = neutral; 4 = agree; 5 = strongly agree) is used, and item 12 is negatively stated.…”

“…Endsley de ned situational awareness as "a person's mental model of the world around them" in connection with aviation [6]. Situational awareness is a part of information processing that follows perception and in uences decision-making as well as action execution [7]. In the simplest terms, situational awareness allows an individual to see the big picture of a situation while dealing with the details and issues as they arise [8].…”

The effectiveness of using situational awareness and case-based seminars in a comprehensive nursing skill practice course for undergraduate nursing students: a quasi-experimental study

“…Situational awareness is a part of information processing that follows perception and influences decision-making as well as action execution [ 7 ]. In the simplest terms, situational awareness allows an individual to see the big picture of a situation while dealing with the details and issues as they arise [ 8 ]. Situational awareness has been recognized as a crucial component of medical practice in the field of healthcare, encompassing several cognitive abilities such as perception, comprehension, reasoning, and meta-cognition [ 9 ].…”